[AVBC 2025] Beyond Acute Care: Implementation of the International Consortium of Health Outcome Measurement...
Care Process & Redesign
Appropriate & Value-based Care Conference
SingHealth
6 November 2025
To improve acute care outcomes and demonstrate cost avoidance through the ischemic stroke Value Driven Care (VDC) initiative. ICHOM-SSS implementation requires groundwork to assess feasibility and obtain buy-in.
Year Submitted: 2025
Published Date: 06 November 2025
Tags: Care Process ＆ Redesign, Workflow Redesign, Quality Improvement, Patient Reported Outcome Measures, Value Based Care
About this Content
Aims
To improve acute care outcomes and demonstrate cost avoidance through the ischemic stroke Value Driven Care (VDC) initiative at Singapore General Hospital (SGH).
Background
The initiative began in 2020 and adopted the International Consortium of Health Outcome Measurement stroke standard set (ICHOM-SSS) to extend care considerations beyond acute care and incorporate patient-reported outcomes (PROMs).
Methods
The methodology involved mapping variables for VDC with the ICHOM-SSS, patient journey mapping, ground immersion and engagement, and designing data collection processes. PROMs were implemented at Rehabilitation Medicine (RMD) and Outram Community Hospital (OCH).
Results
Of the 24 ICHOM-SSS variables, 12 were collected under VDC, 6 were retrievable from SGHs data warehouse eHIntS, while the remaining variables required workflow redesign. Six discharge pathways were identified, each involving different staff groups.
Conclusion
ICHOM-SSS implementation requires groundwork to assess feasibility and obtain buy-in. The expanded SLO service represents a possible solution for using PROMs in clinical care, although further evaluation of outcomes is underway.
Lessons Learnt
Successful implementation requires understanding current systems to identify data sources and stakeholders to engage. Coordination with all relevant stakeholders across disparate discharge pathways was a challenge, leading to a decision to pilot with two settings.
Additional Information
This project acknowledges the support and efforts of various staff groups in implementing the ICHOM-SSS in SGH.
Keywords
Ischemic Stroke, Discharge Pathways
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Healthcare Administration, Medical |
Applicable Specialty or Discipline | Neurology, Anaesthesiology |
Project Lead(s) | Deidre Anne De Silva |
Project Member(s) | Chin De Zhi |
Connect with this contributor!
Deidre Anne De Silva - deidre.desilva@singhealth.com.sg